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Visiting Someone in Memory Care or a Nursing Home

Practical tips for visiting a loved one with dementia in memory care, assisted living or a nursing home: when to go, what to bring, what to talk about, and how to handle hard goodbyes.

By Jim Pavlish, Editor · Last updated: · Editorial policy

When someone you love moves into memory care or a nursing home, your role changes but it doesn't end. Visits can be some of the best parts of their week, and they can also be hard on you, especially if the person doesn't recognize you or asks to go home. These tips come from caregiver guidance and are meant to make visits calmer for both of you. (If you're still choosing a place, see Choosing Memory Care or a Nursing Home.)

The first few weeks

Moving is a big change, and many people need time to settle. Some communities suggest families visit less often at first; others welcome daily visits. Ask the staff what they've seen work for your loved one, and adjust. Feeling guilty or unsure during this stretch is very common (see Caregiver Guilt: Why It Happens and How to Ease It).

When to visit

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What to bring

Check with staff before bringing food or anything with small parts, sharp edges or strong scents.

How to start the visit

What to talk about and do

You don't need a plan, and conversation doesn't have to be the main event.

See Activities for People with Dementia for more ideas matched to each stage.

When they ask to go home

"I want to go home" is one of the most common and painful things families hear. Often "home" means a feeling of safety, comfort or the past, rather than a specific address. Arguing or explaining why they can't leave rarely helps. Try responding to the feeling: "You miss home. Tell me about it." Then gently move to something pleasant, like a snack or a walk.

Saying goodbye

Leaving can trigger distress. Things that help many families:

Partnering with the staff

Visits are a good time to notice changes and share what you know. Tell staff about the person's routines, likes and dislikes, and what calms them. Mention new pain, weight loss, falls or behavior changes. Many communities hold care-plan meetings; ask to be included.

Take care of yourself too

Visiting someone who is changing can bring waves of grief, even while they're still alive (see Grief and Ambiguous Loss). It's okay to leave a visit and need a quiet moment. Support groups for families of people in long-term care can help (see Finding a Support Group). The Alzheimer's Association's free 24/7 Helpline is 800-272-3900.

Sources

  1. Alzheimer's Association: Residential Care
  2. National Institute on Aging: Communicating With Someone Who Has Alzheimer's Disease
  3. Alzheimer's Association: Communication and Alzheimer's
  4. Alzheimer's Association: Late-Stage Caregiving

Not medical advice. This article is general information, not a diagnosis or treatment plan for any individual. Talk with a doctor about your situation.

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